Author ORCID Identifier

https://orcid.org/0009-0003-2140-3319

Semester

Spring

Date of Graduation

2024

Document Type

Problem/Project Report

Degree Type

OTD

College

School of Medicine

Department

Occupational Therapy

Committee Chair

SueAnn Woods

Committee Co-Chair

Kayleigh Nolan

Committee Member

Joann Lyon

Committee Member

Brittany Kenst

Committee Member

Heather Livengood

Abstract

Background: The Occupational Therapists working within the burn unit at West Penn Hospital assess and treat patients utilizing the biomechanical approach FOR, as well as the support from MOHO and PEOP. The patients seen within the burn unit encompass a variety of injuries and occupational deficits that require an individualized and holistic approach to care.

Purpose: The purpose of the contracture management project is to provide an interdisciplinary approach to improve carryover and patient care within and out of the hospital.

Theoretical framework: The contracture management project is guided using the biomechanical frame of reference as well as supporting constructs derived from the Model of Human Occupation (MOHO) and Person-Environment- and Occupational Performance model (PEOP). The biomechanical approach the primary guide for this project due to the numerous barriers individuals face when injured. The biomechanical frame of reference emphasizes positioning, range of motion, strength, and occupational performance which are all areas of impact during a burn injury.

Methods: The Qualitative study included a pre and post-correlation survey, consisting of 15 questions. The survey was given before and after individualized group presentations of n=10 registered nurses and n=11 occupational therapists working at West Penn Hospital. The findings were reported using descriptive statistics.

Results: The results indicated that occupational therapy and nursing had an increase in knowledge from pre-survey to post-survey after an educational informational in-service was given and contracture management binders were developed.

Conclusions: The contracture management presentations and binders provided in-depth knowledge regarding splinting, positioning, and range of motion activities.

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